Headaches and the N95 face-mask amongst healthcare providers
Headaches and the N95 face-mask amongst healthcare providers
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DOI：
10.1111/j.1600-0404.2005.00560.x
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发表时间：
2006-03-01
影响因子：
3.5
通讯作者：
Ong, BKC
中科院分区：
文献类型：
--
作者：
Lim, ECH;Seet, RCS;Ong, BKC
工作背景：在2003年严重急性呼吸窘迫综合征流行期间，医护人员强制佩戴N95防护面罩。方法：我们对医护人员进行了一项调查，以确定与头痛发生相关的危险因素（频率，头痛亚型和口罩佩戴时间）和头痛的影响结果：调查对象为212名（男47名，女165名）医务人员，平均年龄31岁（21-58岁）。在79名（37.3%）报告与面罩相关的头痛的受访者中，26名（32.9%）报告头痛频率超过每月6次。2003年3月至2004年6月期间，6名（7.6%）患者请病假（平均2天;范围1-4天），47名（59.5%）患者因头痛而需要使用止痛药。4人（2.1%）在此期间服用了预防性头痛药物。多因素Logistic回归分析显示，头痛的发生率[P = 0.041，OR = 1.97（95%CI 1.03-3.77）]和连续使用N95口罩超过4 h [P = 0.053，OR = 1.85（95%CI 0.99-3.43）]与头痛的发生有关。结论：使用N95面罩后，医护人员可能会出现头痛。较短的面罩佩戴时间可能会降低这些头痛的频率和严重程度。
Background: During the 2003 severe acute respiratory distress syndrome epidemic, healthcare workers mandatorily wore the protective N95 face-mask.Methods: We administered a survey to healthcare workers to determine risk factors associated with development of headaches (frequency, headache subtypes and duration of face-mask wear) and the impact of headaches (sick days, headache frequency and use of abortive/preventive headache medications).Results: In the survey, 212 (47 male, 165 female) healthcare workers of mean age 31 years (range, 21-58) participated. Of the 79 (37.3%) respondents who reported face-mask-associated headaches, 26 (32.9%) reported headache frequency exceeding six times per month. Six (7.6%) had taken sick leave from March 2003 to June 2004 (mean 2 days; range 1-4 days) and 47 (59.5%) required use of abortive analgesics because of headache. Four (2.1%) took preventive medications for headaches during this period. Multivariate logistic regression showed that pre-existing headaches [P = 0.041, OR = 1.97 (95% CI 1.03-3.77)] and continuous use of the N95 face-mask exceeding 4 h [P = 0.053, OR = 1.85 (95% CI 0.99-3.43)] were associated with development of headaches.Conclusions: Healthcare providers may develop headaches following the use of the N95 face-mask. Shorter duration of face-mask wear may reduce the frequency and severity of these headaches.